A hundred days after signing in, the first surgery shocked the world!

"How is that possible?!"

"I... Toothache... It actually became... Myocardial infarction? "

Yu Sisi couldn't believe his ears.

"Could it be a mistake?"

"Most likely, it is impossible..."

Yu Sisi suddenly panicked and grabbed Lin Feng's hand!

"Doctor Lin, what should I do?"

Although Yu Sisi is not a doctor, her specialty is not medical.

But myocardial infarction, as soon as it sounds, is not a minor illness.

Lin Feng comforted her, "Don't worry. I'll figure it out. Now the first thing is that you have to put your work on hold and be hospitalized first. "

"Where to be hospitalized?" Yu Sisi is now in chaos.

Logically, the normal process is spoken.

Yu Sisi should go to the cardiology department for hospitalization.

If the condition does not get better, it is bad.

He was then transferred to cardiac surgery.

But Lin Feng's heart is itching again now.

In the emergency room, he can be exposed to a wide variety of surgeries throughout the day.

Came to the gastroenterology department.

The range of patients is much narrower.

Although occasionally, I can go to the emergency room to mix surgery or something.

But this is far from satisfying the hunger for surgery and patients.

Now a cardiovascular patient is at hand.

How could Lin Feng let go.

(Outside the heart: thunder, rain, Lin Feng is going to rob the patient again!) ）

Lin Feng decided to leave Yu Sisi.

Well, just go to the emergency room.

(Director Zhou: scattering flowers ~~~)

(Zhao Wangyang: Lift the table~~~)

Lin Feng turned his head and said to Yu Sisi: "Go to the emergency department and be hospitalized, I will arrange a room for you." "

Yu Sisi was still in a trance.

Without thinking, she nodded in agreement.

At this moment,

Wait a minute!!

Director Changwu appeared at the door.

"Don't go to the emergency room, come to our gastroenterology!"

During this time, Lin Feng continued to run to other departments for surgery in the gastroenterology department, which made Changwu feel that his department was very faceless, and was ridiculed by the directors of other departments.

My big northeast temper ah!

How can this be endured?

Now this patient, even if it is extracardial, but in the gastrointestinal treatment, that is naturally put in the gastrointestinal department!

Coupled with the fact that Emperor Zhangwu was born as a great doctor, he had more aura than ordinary people.

Other departments, he is not afraid at all!

Lin Feng naturally would not object, and said to Yu Sisi.

"Hospitalize here in the gastroenterology department, and I'll arrange a room for you."

Yu Sisi was still in a trance.

Without thinking, she nodded in agreement.

......

Soon, Yu Sisi was admitted to the ward.

......

Acute inferior myocardial infarction.

CT examination.

The root of the disease is blockage of the coronary arteries.

In severe cases, improper treatment can be life-threatening.

Arrange for Yu Sisi to be hospitalized.

Monitoring and treatment immediately followed.

Lin Feng kept talking, and one medical order after another was given.

ECG monitoring...

Take oxygen...

Blood oxygen saturation monitoring...

Intravenous drip of nitroglycerin...

Lin Feng handled it handy!

Shotake watched quietly from the sidelines.

Although Akitake is not an expert in cardiac surgery.

But at his level, all departments understand more or less.

Gee!

Lin Feng's handling is very powerful!

Just when Lin Feng was urgently dealing with the condition,

Zhang Yang got the news out of nowhere, and he quickly appeared in the ward and saw that Lin Feng was really dealing with a heart patient.

Zhang Yang: "..........................."

Since Lin Feng came to the gastroenterology department.

He was completely out of favor in front of Changwu.

In the past, the teacher Zhangwu was 'Zhang Yang', 'Zhang Yang Hey', 'Zhang Yang Ya' every day... Now it's all replaced by 'Lin Feng', 'Lin Feng'...

It's miserable!

Status - 1-1-1-1

I'm your apprentice, teacher!

Crying chirp...

......

Yu Sisi spent two days in the gastroenterology department.

Lin Feng is her attending doctor.

During this period, Vice President Li, Yu Sisi's superior leader, also came to visit her.

Originally, I heard that Yu Sisi was hospitalized in the gastroenterology department and saw heart disease.

He was also surprised.

But when he saw that it was Lin Feng who was the attending doctor, he understood in seconds.

"Sisi, don't worry, Dr. Lin's medical skills are very powerful, especially in terms of heart disease. I think that at the beginning, the life of Director Zhou of the emergency department was saved by Lin Feng. Dean Li comforted Yu Sisi.

"Uh-huh... Thank you, Dean Li..."

In the past two days, countless people such as Director Chang and the nurses who patrolled the room back and forth... In Yu Sisi's ear, he said that Lin Feng was powerful.

So, she has let go of her worries.

And Lin Feng?

Based on the principle of first inside and then outside, if you can do it, you will not perform surgery.

Conservative treatment first.

In the past two days, Lin Feng has been taking the method of drug thrombolysis.

However, the effect is not very good.

Day 3.

Yu Sisi's condition did not improve at all.

Even chest tightness began to appear, apparently the infarction (infarction) worsened.

Lin Feng knew that surgery was necessary.

And the sooner the better.

Yu Sisi's condition is occlusion of the left circumflex branch of the coronary artery.

The best surgical option is coronary stenting.

Coronary stenting is common.

However, it is also a fourth-level cardiac surgery, which is an interventional surgery.

Since it is an operation.

That preoperative conversation signature is a must.

The condition does not wait for people.

Lin Feng immediately came to the ward.

At this moment, in addition to Yu Sisi, there was also her mother in the ward.

To make a long story short, Lin Feng told the two about the surgical treatment.

Yu Sisi had not yet spoken.

Her mother was the first to get angry: "Will you see a doctor, my daughter is only in her twenties, how can she have coronary heart disease!" And surgery! Are you mistaken? "

Facing the family of the patient who is angry.

Lin Feng's tolerance is still relatively high.

It is certain that someone in the family is sick or seriously ill, and the mood is bad.

Understand each other.

Lin Feng said patiently: "The possibility of this disease being mistaken is almost impossible, and the probability of young people getting coronary heart disease is indeed relatively low, but it is not absolutely nothing." It's mostly genetics. "

Yu Sisi said weakly at this time: "Mom, don't raise the bar, CT films and electrocardiograms will not be wrong." And my dad died of this disease. "

Yu's mother: "Even if it's coronary heart disease... Is surgery really going to be done? "

Lin Feng: "The contrast-enhanced CT in the morning showed that the blood vessels were blocked by more than 75%, the drug treatment effect was very poor, and it was extremely dangerous not to undergo surgery. "

Yu's mother: "Then who does this operation?" "

Yu Sisi's mother knew that Lin Feng was Yu Sisi's attending doctor.

She didn't know much about Lin Feng.

She looked at Lin Feng very young.

Let him do the operation, she is not at ease.

Lin Feng said truthfully: "I'll do it." "

"...," Yu Mu stopped talking.

Yu Sisi was dissatisfied: "Mom, Dr. Lin is the best extracardiac doctor we have here, and I am very relieved that he has surgery." "

Yu Mu glanced at Lin Feng, full of distrust, and the deep-rooted thought in her heart was that her mouth was hairless and she couldn't do things firmly.

Doctors, it must be the kind of thankful, gray-haired to be reliable.

(Zhao Wang Yang of Xie Ding's sign is irritable: You just thank Ding, your whole family Xie Ding!) ）

The doctor in front of me is also too young.

Don't say let him do surgery, or let him see his daughter, he is a little guilty in his heart.

"Daughter, is he really the best doctor in your life?" Mother Yu looked at her daughter, her eyes full of disbelief.

Yu Sisi smiled and said, "Of course. Don't forget, your daughter works here. "

Heard this.

Only then did Yu's mother let go of her heart.

Yes, the daughter works here, she should not be mistaken.

Mother Yu glanced at Lin Feng again.

"Okay, I signed it..."

Yu's mother's worries were resolved.

But Yu Sisi also has his own worries.

Her worries were completely different from Yu's mother.

She trusts Lin Feng to operate on her.

But for the operation itself, she was afraid.

Yu Sisi was afraid: "Doctor Lin, will this operation open a big hole in my chest." "

Lin Feng smiled: "This is a minimally invasive interventional operation, at that time, I will pierce a small hole in the arterial blood vessels of your arm." "

Yu Sisi was pleasantly surprised: "Really? "

Lin Feng still smiled: "Of course." General anesthesia is not even required, as long as local anesthesia is fine. At that time, you can continue to interview me. "

Yu Sisi was relieved, and she also smiled, "One word is a decision!" "

Lin Feng: "In a word!" "

Yu Sisi suddenly thought of another question, "Local anesthesia, will that hurt?" "

Lin Feng: "It hurts a little. But it's definitely a lot lighter than your toothache. "

Yu Sisi smiled, "That's nothing! "

Preoperative talk done.

The next step is the development of a surgical plan.

The surgery is scheduled for the next day.

......

Following.

Operating room.

Lin Feng main knife.

Program: Interventional coronary stenting

Issuke is a young attending doctor and an instrument nurse borrowed from outside his heart.

(The cardiac surgery department cried: Lin Feng, you are too much, robbing us of our work, and borrowing instruments from us, borrowing people!) This is also too bullying! Don't dare not give it, if you don't give it to Dean Wang, they will cut us. Whining...... It's so hard... ）

......

Although there are only two surgeons.

But there are quite a few onlookers.

Vice President Li and Zhang Wu led the team, and the entire gastroenterology department almost all came except for the people on duty.

Gastroenterology is still very rare for heart surgery, so they are curious to watch strongly!

This frightened the young master with a foreign heart.

What's wrong with this?

Usually put on a bracket, why are there so many people?

Scare the baby to death.

......

......

Surgery, officially begins!

Wash your hands, wear lead, gloves...

Step 1: anesthesia.

There is no anesthesiologist this time, after all, you have seen a tooth extraction, and an anesthesiologist has come to give you anesthesia?

It's all the doctors themselves.

(Anesthesiologist: We also have status!) That's right! Don't call us an anesthesiologist, we officially call an anesthesiologist! A well-behaved five-year clinical undergraduate, just like your clinicians! ）

Anesthetic: Lidocaine!

・Anesthesia method: Local injection!

Anesthesia site: at the radial artery of the right arm.

As Lin Feng and Yu Sisi said.

This procedure involves a hole in the radial artery in the right arm, then through the arterial vessels in the right arm to place an artificial stent into the coronary artery near the heart.

It's a meticulous job.

Complete anesthesia.

Lin Feng and Yu Sisi talked: "How do you feel?" "

Yu Sisi: "I don't feel anything, I just feel a little cold." "

Lin Feng: "Not bad!" Real experience, remember to write back in the interview. "

......

Next, puncture.

First use a broken knife to make a small opening in the radial artery of the right arm...

Then the puncture needle puncture ...

Lin Feng: "How is it?" Does it hurt? "

Yu Sisi: "It's okay. "

Lin Feng pulled out the piercing needle and followed the piercing guidewire...

Placement of the sheath (two layers, with inner and outer sheaths)...

Pull out the puncture guidewire and the inner sheath ...

The outer sheath remained in the blood vessels ...

Lin Feng: "Don't you interview me?" I'm going to leave work when I'm done with surgery. "

Yu Sisi: "... Well, do you have a girlfriend? "

Lin Feng: "This question again!" Attention, I'm going to put the guidewire, if anything is uncomfortable, remember to let me know. "

Lin Feng is familiar with this operation.

Familiar is like eating and drinking.

His conversation with Yu Sisi can also be regarded as helping Yu Sisi relieve the pressure of surgery.

At the same time, he also needs to know Yu Sisi's current state.

Next.

Contrast guidewires, contrast catheters enter the blood vessels through the outer sheath that has just been placed...

The surgery goes on here.

Its four-level difficulty is the real beginning.

Complex blood vessels.

Lin Feng operated the guide wire, passing through little by little...

From the radial artery of the right arm, through a slow path, winding to the destination, the coronary orifice.

Then, push in the contrast agent...

Angiography......

Under the X-ray machine, the shape of Yu Sisi's blood vessels can now be clearly seen.

Soon, Lin Feng found the blocked blood vessel under the X-ray.

The culprit of myocardial infarction!

Deal with it!

Pull out the contrast guidewire, contrast catheter...

Put in the guide catheter and guide guidewire...

Finally along the guide guidewire into the stent balloon...

The balloon is initially unopened and empty in the middle, making it easy to move forward through the guide catheter.

When the blockage is reached, Lin Feng holds the pressure pump to stamp it.

The balloon opens...

The stent swells smoothly and becomes fat...

Blocked blood vessels are propped up...

Place the work, end!

......

Next, wrap up.

Unsteer the guidewire, guide the catheter...

Get back the outer sheath...

Bandaging the wound ...

At this point, the whole operation is complete.

The entire operation took only fifty minutes.

Textbooks in general.

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